Bayside Podiatry P.A.

LBN: Bayside Podiatry P.A.
Bayside Podiatry P.A. is an health care organization with primary practice located at 326 Main St , Cumberland Center ME 04021-3904. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Bayside Podiatry P.A. can be contacted via phone (207) 829-6463, or through Rybka, Russell John via phone (207) 829-6463.

Contact Information

Primary practice address
326 Main St Cumberland Center ME 04021-3904
Phone: (207) 829-6463
Fax: (207) 829-6513
Website:
Map and Directions
Authorized official contact:
Name: Rybka, Russell John Doctor of Podiatric Medicine (DPM)
Phone: (207) 829-6463

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD233 Maine

Profile Details

NPI number 1154648863
LBN Legal business name Bayside Podiatry P.A.
DBA Doing business as
Authorized official Rybka, Russell John Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2010
Last updated Apr 21st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154648863 NPPES
Maine MEDICAID 212590000

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